| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $443.49 | $443.49 | $1,822.74 | |
Cigna
| Professional | $830.91 | $830.91 | $995.52 | |
Medica
| Facility | $504.89 | $682.29 | $1,146.25 | |
Medica
| Professional | $286.56 | $286.56 | $1,023.44 | |
United
| Professional | $286.56 | $286.56 | $436.67 |